In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

Smoking, hypertension, obesity, diabetes, and high cholesterol

Personality type, high cholesterol, diabetes, and smoking

Alcohol consumption, obesity, diabetes, stress, and high cholesterol

Family history, hypertension, stress, and age

Answer and Explanation

The Correct Answer is A

A.   Smoking, hypertension, obesity, diabetes, and high cholesterol: These are all well-established major risk factors for heart disease and should be included in the patient's history.
B.   Personality type, high cholesterol, diabetes, and smoking: While personality type may contribute to stress, the other factors listed are more directly linked to heart disease.
C.   Alcohol consumption, obesity, diabetes, stress, and high cholesterol: Alcohol consumption may be a risk factor, but smoking and hypertension are more significant.
D.   Family history, hypertension, stress, and age: While family history, age, and hypertension are important, this option misses key factors like obesity, smoking, and diabetes.

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Correct Answer is C

Explanation

A. Adrenal: The adrenal glands produce hormones like cortisol and adrenaline, but not thyroxine.
B. Parotid: The parotid glands are salivary glands and are unrelated to thyroxine production.
C. Thyroid: The thyroid gland produces thyroxine (T4), and elevated levels of this hormone indicate that the thyroid gland should be assessed for potential hyperthyroidism.
D. Parathyroid: The parathyroid glands regulate calcium levels but do not produce thyroxine.

A. Fixed lymph nodes B. Lymph nodes that are large, firm, and fixed to the tissue C. Nonpalpable lymph nodes D. Rubbery, discrete, and mobile lymph nodes

Correct Answer is C

Explanation

A. Fixed lymph nodes suggest possible malignancy or infection and are not typical for a healthy individual.
B. Lymph nodes that are large, firm, and fixed to the tissue also suggest infection or malignancy and would be abnormal in a healthy patient.
C. Nonpalpable lymph nodes are a normal finding.
D. Rubbery, discrete, and mobile lymph nodes are indicative of a pathological process.

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In assessing a patient's major risk factors for heart disease, which would the nurse want to include when taking a history?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient's laboratory data reveal an elevated thyroxine (T4) level. What gland should the nurse assess?

Correct Answer is C

Explanation

The nurse has just completed a lymph node assessment on a healthy 40-year-old female patient. Which of the following is an expected finding?

Correct Answer is C

Explanation

A 92-year-old patient has had a stroke. The right side of his face is drooping. The nurse might also suspect which of these assessment findings?

A nurse is auscultating heart sounds and hears a murmur. What should be included in the nurse's documentation? Select all that apply.

A client is brought to the emergency department by ambulance after being involved in a motor vehicle accident. The nurse finds that he has decreased breath sounds over the left lung fields. What might the nurse suspect is the cause?

Which of the following is the most important muscle in the normal respiratory process of an adult?

A patient says that she has recently noticed a lump in the front of her neck below her "Adam's apple" that seems to be getting bigger. During the assessment, what finding would lead the nurse to suspect that this may not be a cancerous thyroid nodule?

The nurse has discovered decreased skin turgor in a patient and knows that this finding is expected in which condition?

The RN is explaining to an elderly client why the skin folds and sags as part of the normal aging process. What is the correct mechanism for this?

When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. The nurse interprets that these sounds are: